Tramal Capsule Side Effects in Pakistan

A complete guide to the side effects of Tramal Capsule. From common effects to serious warnings, everything you need to know is on this page.

Compiled by the PakVita Editorial Team · AI-assisted drafting with editorial review · Sourced from DRAP, WHO, BNF · Last updated: 2026-06-26

Side Effects

Quick Answer

Common side effects of Tramal Capsule include nausea and vomiting and dizziness and drowsiness. Serious effects such as respiratory depression (slow, shallow breathing) — life-threatening; seek emergency help immediately require immediate medical attention. Most patients tolerate Tramal Capsule well at the correct dose. Contact your doctor if any side effect persists or worsens.

Side Effects at a Glance

Common

Nausea and vomiting
Dizziness and drowsiness
Constipation

Serious — See a Doctor

Respiratory depression (slow, shallow breathing) — life-threatening; seek emergency help immediately
Seizures (convulsions) — stop use and seek emergency medical care
Serotonin syndrome (agitation, rapid heart rate, high temperature) — seek immediate medical help

When to See a Doctor Immediately

Slow, shallow breathing or difficulty breathing
Seizures or convulsions
Unusual agitation, rapid heartbeat, or high temperature (possible serotonin syndrome)

Tramal Capsule Side Effects (Nuksanat)

Tramal Capsule (Tramadol Hydrochloride) is generally safe when taken at the correct dose. However, like all medicines, it can cause side effects in some patients.

Common Side Effects (Aam Nuksanat)

Nausea and vomiting
Dizziness and drowsiness
Constipation

These side effects are usually mild. If they continue, inform your doctor.

Serious Side Effects (Sanjeedah Nuksanat)

Respiratory depression (slow, shallow breathing) — life-threatening; seek emergency help immediately — see a doctor immediately
Seizures (convulsions) — stop use and seek emergency medical care — see a doctor immediately

When to See a Doctor (Kab Doctor Se Milna Zaroori Hai)

Slow, shallow breathing or difficulty breathing
Seizures or convulsions
Unusual agitation, rapid heartbeat, or high temperature (possible serotonin syndrome)

Warnings and Precautions (Ihtiyat)

Do not use Tramal Capsule if you are allergic to Tramadol Hydrochloride
Risk of dependence and abuse — use only as prescribed by your doctor

Side Effects Summary Table

Type	Side Effect	Action
Common	Nausea and vomiting	Monitor / inform doctor
Common	Dizziness and drowsiness	Monitor / inform doctor
Serious	Respiratory depression (slow, shallow breathing) — life-threatening; seek emergency help immediately	See a doctor immediately
Serious	Seizures (convulsions) — stop use and seek emergency medical care	See a doctor immediately

Reporting Side Effects

If you notice any unexpected side effect, report it on the DRAP pharmacovigilance portal: https://www.dra.gov.pk/pharmacovigilance

The information in this guide is for educational purposes only. If you notice any side effect, contact your doctor or pharmacist.

Frequently Asked Questions

What are the most common side effects of Tramal Capsule?

The most commonly reported side effects of Tramal Capsule include nausea and vomiting and dizziness and drowsiness. These are usually mild and go away on their own. Inform your doctor if they persist.

Can Tramal Capsule cause allergic reactions?

Yes, like all medicines, Tramal Capsule can cause allergic reactions in some people. Signs include rash, itching, swelling, or difficulty breathing. Stop use and seek medical help immediately if this happens.

Is Tramal Capsule safe to take for a long time?

Long-term safety depends on the condition and the patient. Your doctor will monitor for any signs of adverse effects if continued use is needed.

What should I do if I experience side effects from Tramal Capsule?

For mild side effects, inform your pharmacist. For serious effects such as respiratory depression (slow, shallow breathing) — life-threatening; seek emergency help immediately, stop the medicine and contact your doctor immediately or go to the nearest hospital.

Does Tramal Capsule affect the liver or kidneys?

Tramal Capsule may require dose adjustment in patients with liver or kidney impairment. Your doctor will advise based on your test results and overall health condition.

Brand alternatives, same-class options, and other medicines used for the same conditions as Tramal Capsule.

Other painkillers (analgesics)

Sibling medicines in the Painkillers (Analgesics) class.

All in class →

Sources

DRAP Registered Products Database — Drug Regulatory Authority of Pakistan
WHO Model List of Essential Medicines, 23rd ed. (2023) — World Health Organization
British National Formulary (BNF) — BMJ Group & Pharmaceutical Press

Medical disclaimer

This page is for educational use only and does not replace professional medical advice. Always confirm diagnosis, dose, and interactions with a qualified doctor or pharmacist before starting or changing any medicine.